<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Wedding Guest-Request A Quote"/> <field type="header" subtype="h2" label="Full name"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Number of Nights" name="number-of-nights" other="true"> <option label="3 Nights" value="3-nights">3 Nights</option> <option label="4 Nights" value="4-nights">4 Nights</option> <option label="5 Nights" value="5-nights">5 Nights</option> <option label="6 Nights" value="6-nights">6 Nights</option> <option label="7 Nights" value="7-nights">7 Nights</option> </field> <field type="text" required="true" label="Number Adults 18 and Older" name="number-adults-18-and-older" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of Children Ages 0-17&nbsp;" name="number-of-children-ages-017-list-ages-at-the-time-of-travel" subtype="text" className="form-control"/> <field type="text" label="List ages of children at the time of travel" name="list-ages-of-children-at-the-time-of-travel" subtype="text" className="form-control"/> <field type="textarea" label="Comments and/or Request you would like to consider when building your personalize proposal" name="comments-andor-request-you-would-like-to-consider-when-building-your-personalize-proposal" className="form-control"/> </fields> </form-template> </body> </html>
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